佛山市禅城区老年人肺炎球菌疫苗接种的影响因素分析  

Analysis of Influencing Factors for Pneumococcal Vaccination Among the Elderly in Chancheng District of Foshan City

作　　者：杨桂荪 蔡雯雅 汤洁英 张艳芳[4] 张晋昕[5] Yang Guisun;Cai Wenya;Tang Jieying;Zhang Yanfang;Zhang Jinxin(Foshan Fosun Chancheng Hospital,Foshan 528000,Guangdong Province,China;Chancheng High-tech Zone Hospital,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong Province,China;Nanzhuang Hospital,The People's Hospital of Chancheng District in Foshan City,Foshan 528000,Guangdong Province,China;Chancheng District Disease Prevention and Control Center,Foshan 528000,Guangdong Province,China;School of Public Health,Sun Yat-Sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]佛山复星禅诚医院,广东佛山528000 [2]佛山市中医院禅城高新区医院,广东佛山528000 [3]佛山市禅城区人民医院南庄医院,广东佛山528000 [4]佛山市禅城区疾病预防控制中心,广东佛山528000 [5]中山大学公共卫生学院,广东广州510080

出　　处：《中国社区医师》2023年第32期145-147,共3页Chinese Community Doctors

摘　　要：目的:分析佛山市禅城区老年人肺炎球菌疫苗接种的影响因素。方法:采用便利抽样的方式选取2023年2—6月在佛山市禅城区各接种门诊与社区选择1 567名老年人作为研究对象,进行问卷调查,分析其疫苗接种情况以及疫苗接种的影响因素。结果:接种疫苗与未接种疫苗老年人受教育程度、月收入情况、合并基础疾病、同住人、是否有医生推荐接种疫苗、家人或朋友是否有接种疫苗、对老年人疫苗接种相关知识是否知晓、自评健康情况、伴有负性情绪情况比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,受教育程度为初中及以下、合并基础疾病、未与晚辈同住、无医生推荐接种疫苗、对老年人疫苗接种相关知识未知晓、满意自评健康情况、伴有负性情绪是老年人疫苗接种的影响因素,差异有统计学意义(P<0.05)。结论:老年人肺炎球菌疫苗接种的影响因素较多,医护人员需结合老年人实际情况制定相关策略,提升疫苗接种率。Objective:To analyze the influencing factors for pneumococcal vaccination among the elderly in Chancheng District of Foshan City.Methods:A total of 1567 elderly people were selected from various vaccination clinics and communities in Chancheng District of Foshan City from February 2023 to June 2023 by using convenience sampling method,as the study subjects.A questionnaire survey was conducted to analyze their vaccination status and influencing factors of vaccination.Results:There were statistically significant differences in education level,monthly income,comorbidities with underlying diseases,cohabitants,whether doctors recommended vaccination,whether family members or friends were vaccinated,whether they knew about vaccination knowledge in the elderly,self-rated health,and negative emotions between the vaccinated elderly and the unvaccinated elderly,and the difference was statisically significant(P<0.05).Logistic regression analysis showed that the influencing factors of vaccination among the elderly were education level at or below junior high school,comorbidities with underlying diseases,no cohabitation with younger generations,no doctor recommended vaccination,lack of knowledge about vaccination in the elderly,satisfaction with self-rated health,and negative emotions,and the difference was statisically significant(P<0.05).Conclusion:There are many influencing factors for pneumococcal vaccination among the elderly,and medical staff need to formulate relevant strategies based on the actual situation of the elderly to increase the vaccination rate.

关 键 词：老年人 疫苗接种 影响因素 管理对策 

分 类 号：R186[医药卫生—流行病学]